Introduction to the “Six Questions Introduction to the “Six Questions County Leaders Need to Ask” County Leaders Need to Ask” February 2017 1
Webinar Recording and Evaluation Survey • This webinar is being recorded and will be made available online to view later – Recording will also be available at www.naco.org/webinars • After the webinar, you will receive a notice asking you to complete a webinar evaluation survey. Thank you in advance for completing the webinar evaluation survey. Y our feedback is important to us. 2
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4 Poll Questions
Stepping Up Launched Stepping Up Launched May 2015 May 2015 This project was supported by Grant No. 2012-CZ-BX-K071 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, the Community Capacity Development Office, and the Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering, and Tracking. Points of view or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice. To learn more about the Bureau of Justice Assistance, please visit bja.gov. 5 5
Speaker: Ruby Qazilbash Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice 6
7 .stepuptogether.org .org www.stepuptogether www Getting Started Getting Started
Counties are Stepping Up Counties are Stepping Up St Stepp epping ng Up R Up Reso solutions R lutions Recei eceived as of Januar ed as of January 1, 2 y 1, 2017 8
9 Poll Questions
Resources T Resources Toolkit oolkit Webinars Self- Research Assessment Tools StepUpTogether.org/Toolkit Planning County Exercises Examples 10
S tepping Up Archived Webinars • Getting Started with Stepping Up • Strategies to Measure Prevalence and Assess the Needs of Individuals with Mental Illnesses in Jails . • Examining Treatment and Service Capacity and Identifying State and Local Policy and Funding Barriers • Effective Law Enforcement and Diversion Strategies • Effective Strategies for Connecting People with Mental Illnesses to Services after Release from Jail • Preparing a Plan and Tracking Progress StepUpTogether.org/Toolkit 11
Upcoming S tepping Up TA Resources Monthly Webinars and Networking Calls • First Stepping Up Network Call: Introduction to the Network and Making the Six Questions Work for You (March 2 at 2pm EST) • Next Webinar: Conducting Timely Mental Health Screening and Assessment in Jails (April 6 at 2pm EST) • Register at www.NACo.org/Webinars Quarterly Small-Group Networking and TA Calls • Calls start in March. Stepping Up counties will receive an email to register. 12
Upcoming S tepping Up TA Resources Workshops at NACo’s Legislative Conference • February 25 – March 1 in Washington, D.C. • Find out more at www.NACo.org/Events Updated Resource Toolkit • Companion tools for county leaders • A Project Coordinator Handbook • Guidance on measuring the prevalence of people with mental illnesses in jails • A searchable online repository of example programs and strategies www.StepUpTogether.org/Toolkit 13
Stay Updated Stay Updated Visit Visit stepuptogether stepuptogether.org .org and click on the and click on the Take Action Action Now Now button button to receive Stepping Up updates to receive Stepping Up updates 14
Today’s Webinar Risë Haneberg Senior Policy Advisor, County Program Council of State Governments Justice Center Duane Holder Deputy County Manager Pitt County, N.C. The Honorable Roy Charles Brooks Commissioner, Tarrant County, Texas First Vice President, National Association of Counties 15
Speaker: Risë Haneberg Risë Haneberg Senior Policy Advisor, County Program Council of State Governments Justice Center 16
Stepping Up: Introduction to the Six Questions County Leaders Need to Ask Risë Haneberg, Senior Policy Advisor, CSG Justice Center February 2, 2017
Jails Are Where the Volume Is Number of Admissions to Jail and Prison Weekly and Annually, 2012 11,605,175 Annually Weekly 553,843 222,565 10,621 Jail Admissions Prison Admissions 18
Mental Illnesses: Overrepresented in Our Jails General Population Jail Population 5% Serious 17% Serious 72% Co ‐ Occurring Mental Illness Mental Illness Substance Use Disorder 19
Factors Driving the Crisis Longer stays in jail and Disproportionately higher rates of prison arrest Limited access to Higher recidivism health care rates More criminogenic Low utilization of risk factors EBPs 20
Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails To read the full report, please visit: https://stepuptogether.org/updates/stepping_up_releases_foundational_report
Overarching Goal There will be fewer people with mental illnesses in our jails tomorrow than there are today
How Do We Know if a County is Positioned to Reduce the Number of People with Mental Illnesses in Jail? 1. Is your leadership committed? Six Key 2. Do you have timely screening and Questions assessment? 3. Do you have baseline data? 4. Have you conducted a comprehensive process analysis and service inventory? 5. Have you prioritized policy, practice, and funding? 6. Do you track progress?
1. Is Your Leadership Committed? ☐ Mandate from county elected officials ☐ Representative planning team Commitment to vision, mission, and ☐ guiding principles Designated project coordinator and ☐ organized planning process ☐ Accountability for results
Creating a County Collaborative Leadership and Management Structure County District Sheriff/Jail Behavioral Defense Bar Probation Chief Commissioner/ Judge Attorney Administrator Health Director Executive Police Mayors Departments CJ Families/Ad Providers vocates Coordinator Services Community Providers Leaders
2. Do You have Timely Screening and Assessment? ☐ Is there are system ‐ wide definition of: Mental illness ☐ ☐ Substance use disorders Recidivism ☐ ☐ Screening and assessment: ☐ Validated screening and assessment tools An efficient screening and assessment ☐ process ☐ Electronically collected data
Example of Timely Screening and Assessment in Salt Lake County, Utah Screenings Administered at Jail Booking and Recommended Uses for Follow Up Assessments in Salt Lake County, UT Informing Decision ‐ Making Correctional Mental Jail Management Health Screen between Agencies is Recommended Information Sharing Agreements Level of Service Inventory: Screening Pretrial Release Version Texas Christian Diversion University Drug Screen V Salt Lake Pretrial Risk Connection to Care at Instrument Discharge Assessments Based on Screening Results in Jail Community Supervision or In the Community
Improving Screening and Assessment Adopt a uniform definition of mental illness (and SUD) Select validated screening and assessment tools Universal screening for everyone booked into jail Validated assessment by clinical professional for all screened positive Assess for pretrial risk or diversion
3. Do You Have Baseline Data? ☐ Four Key Measures Prevalence rate of mental illnesses in jail population ☐ ☐ Length of time people with mental illnesses stay in jail ☐ Connections to community ‐ based treatment, services, and supports ☐ Recidivism rates ☐ Electronically collected data
Strategies Must Focus on Four Outcomes 3. 4. 1. 2. Increase Lower Reduce Shorten the percentage rates of the number of the length of of people with recidivism people with stay for people mental mental illness with mental illnesses in jail booked into jail illnesses in jails connected to the right services and supports
4. Have You Conducted a Comprehensive Process Analysis and Service Inventory? ☐ System ‐ wide process review ☐ Inventory of services and programming ☐ Identified system gaps and challenges ☐ Process problems ☐ Capacity needs ☐ Population projections ☐ Evidence Based Practices Identified
A County’s Process Analysis for the Arrest/Booking Stage CIT training of law enforcement is not 1 comprehensive; protocols vary by agency Law enforcement is often unable to 2 locate facility with capacity for Arrested Persons (APs) with acute MH needs Lack of standardized policies at the 3 various detention facilities across the county Automated information system data 4 entry happens at various times Medical staff cross check jail booking 5 information with local hospital(s) system to check MH history; info is not shared with county jail
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